Timothy Shipp, PA-C
NPI 1780938951ActiveIndividual· Physician Assistant· Little Rock Afb, AR
Physician Assistant (PA-C) in Little Rock Afb, Arkansas, licensed in AR, with an NPI issued in November 2012. 24 Medicare patients in 2024, $2,208 paid; nearly all of their 59 Part D prescriptions were generic (98%).
Overview
| NPI | 1780938951 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Nov 8, 2012 |
| Last updated in NPPES | Jul 1, 2025 |
| Certified by provider | Jul 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-500 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 29 across 5 procedure codes |
| Paid by Medicare | $2,208 |
Part D prescriptions in 2024
| Prescriptions (claims) | 59 · 59 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $351.19 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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